Individual
MRS. FIDELIA IJEURU UKAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
19900 HWY. 59, SUGAR LAND, TX 77479
(281) 341-8330
(713) 358-4805
Mailing address
12810 CANDACE CT, MISSOURI CITY, TX 77489-3957
(281) 261-0288
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
580397
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8X3689
BCBS
TX
Enumeration date
07/06/2006
Last updated
07/28/2008
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